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Health Insurance Reform
While the ACA exchanges have brought about new insurance coverage opportunities for Texans, significant problems remain — and potential new ones are developing — with traditional health insurance companies and Texas’ workers’ compensation program.
Under New Management An Interview With TDI's Newest Boss
The end of the 2013 session of the legislature marked the beginning of new leadership at the Texas Department of Insurance (TDI) as Gov. Rick Perry appointed Julia Rathgeber to the helm of the agency in late May. The Senate unanimously confirmed that appointment in June.
Keep Insurers Honest: TMA: Appeal Your Health Plan Rankings
In spring 2011, Aetna notified El Paso plastic surgeon Deborah Seelig, MD, it was dropping her from its Aexcel physician network for not meeting certain criteria under the network's physician-ranking program.
AMA: Bad Claims Payment Increasing
It's not your imagination. Most health insurers are getting worse at correctly paying physicians' claims, the American Medical Association says in its fourth annual
National Health Insurer Report Card
Texas Advocacy and Communications
TMA Healthy Vision 2020: Establish Fair and Transparent Insurance Markets
Read TMA’s legislative strategy and recommendation for 2015 and beyond.
ACA Exchange Plans: Q&A for Texas Physicians
Confused by all you've heard about the Affordable Care Act marketplace insurance plans? Do you know whether you're in — or out — of the narrow networks? How will you tell if a patient is on an exchange plan? What happens to you if patients don't make their premium payments? What, if anything, can you do about all of this? TMA answers these and other tough marketplace exchange questions.
TMA Develops Tooklit to Help You Challenge Unfair Rankings
Physician ranking (also known as physician tiering) has traditionally been a profiling methodology used by private insurance companies to steer patients toward lower-cost physicians.
83rd (2013) Legislative Victories
It took more than six years, but TMA and our state legislators never gave up. Now a new law regulating silent PPOs penalizes unethical third parties who steal and resell physicians’ discounted rates, for commercial and Medicaid contracts. Lawmakers also passed a prompt-pay law for Medicaid HMOs; no more low-pay, slow-pay, no-pay.
2013 Legislative Testimonies and Letters
TMA worked hard guiding health care policy through the Texas Legislature. House and Senate committee chairs held legislative hearings on dramatic budget cuts, physician employment, expansion of scope, and a myriad of public health issues. At each hearing, TMA had a physician leader present to ensure legislators understood our position and acted in the best interest of patients. We also presented a variety of letters to state lawmakers.
Physicians Earn More Than $2 Billion From RICO Settlement
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